Lisa Smith

NPI #1679085047 in Polson, Montana

Provider Information

NPI Number: 1679085047
Entity Type: Individual
Name: Lisa Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 25, 2017
Last Updated: Oct 25, 2017

Practice Location

Address: NINE 14TH AVE WEST
City: Polson
State: Montana
ZIP Code: 59860-5321
Phone: (406) 883-4378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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